Provider Demographics
NPI:1770968398
Name:SHRINGER, RENUKA (NP)
Entity type:Individual
Prefix:
First Name:RENUKA
Middle Name:
Last Name:SHRINGER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17051 DALLAS PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-7106
Mailing Address - Country:US
Mailing Address - Phone:972-733-3090
Mailing Address - Fax:972-733-4565
Practice Address - Street 1:17051 DALLAS PKWY STE 150
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-7106
Practice Address - Country:US
Practice Address - Phone:972-733-3090
Practice Address - Fax:972-733-4565
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128604174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist